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41. Module 1: Using the Comprehensive Long-Term Care Safety Modules: Applying Safety Principles: Facilitator Notes | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module1/mod1-facguide.html
    March 01, 2017 - Can you identify examples of human error in your unit or facility? … Slide 19: Managing Error and Risk 1 Say: To improve outcomes, human error, at-risk behavior, and … Human error is a product of both system design and behavioral choices. … Human error can be managed through changes in processes, procedures, training, system design, or work … The proper management approach is to console team members who have committed a human error and to ensure

42. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
    December 01, 2012 - of bilingual hospital staff as ad hoc interpreters for LEP patients, despite greater likelihood of error … Develop strategies for improvement and error prevention.

43. Resources Related to Diagnostic Safety and Quality | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/diagnostic-safety/resources/index.html
    March 01, 2024 - Defining diagnostic error: a scoping review to assess the impact of the national academies' report improving … You can search diagnostic error to find related studies and resources.

44. Issues With Electronic Health Records Contribute to Diagnostic Errors | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/newsletters/e-newsletter/863.html
    May 01, 2023 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

45. Speaking Plainly: Communicating the Patient’s Role in Health Care Safety (pdf file)
    cahps.ahrq.gov/downloads/pub/advances/vol4/Miranda.pdf
    July 01, 2004 - The groups were used to identify persuasive error prevention messages and to identify the types of patient-provider … Beneficiaries also reported the assumption that the health care system takes certain error-checking … beneficiaries in focus groups generally believed the phrase “patient safety” could be used to signify medical error … Web Coated \050SWOP\051 v2) /sRGBProfile (sRGB IEC61966-2.1) /CannotEmbedFontPolicy /Error /CompatibilityLevel

46. AHRQ Research Summit on Improving Diagnosis in Health Care | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/events/ahrq-research-summit-diagnostic-safety.html
    April 01, 2019 - Quality 5600 Fishers Lane Rockville, MD 20857 Most patients will experience at least one diagnostic error … chapters, aligning with the breakout sessions: Data and Measurement— Chapter 3: Overview of Diagnostic Error

47. Improving Patient Safety in Hospitals: A Resource List for Users of the AHRQ Hospital Survey on Patient Safety Culture (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/sops/surveys/hospital/hospitalresourcelist.pdf
    January 01, 2019 - Feedback and Communication About Error .............................................................. … Feedback and Communication About Error 1. … Missed nursing care is a subset of the category known as error of omission. … Nonpunitive Response to Error 1. … Feedback and Communication About Error Composite 6. Communication Openness Composite 7.

48. Facilitator’s Implementation Roadmap: TeamSTEPPS® Diagnosis Improvement (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/diagnosis-improvement/dxsafety-facilitator-roadmap.pdf
    February 01, 2022 - Use the Course Infographic to provide current information pertaining to diagnostic error and its impact … Sharing data on the frequency of diagnostic error in both ambulatory and acute care settings and their

49. AHRQ’s Measure Dx Tool: Discover and Learn From Diagnostic Errors | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/newsletters/e-newsletter/831.html
    September 01, 2022 - Skip to main content An official website of the Department of Health and Human Services Careers Contact Us Español FAQs Search all AHRQ sites Search small Search Menu …

50. Postdiscalldoc (pdf file)
    cahps.ahrq.gov/sites/default/files/publications/files/postdiscalldoc.pdf
    February 14, 2013 - _______________________  Intentional nonadherence  Inadvertent nonadherence  System/provider error … _______________________  Intentional nonadherence  Inadvertent nonadherence  System/provider error … _______________________  Intentional nonadherence  Inadvertent nonadherence  System/provider error

51. Federal Interagency Workgroup on Improving Diagnostic Safety and Quality in Health Care (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/topics/public-notes-meeting-summary-110620.pdf
    March 11, 2021 - and Safety of Diagnosis and o Evidence on Use of Clinical Reasoning Checklists for Diagnostic Error … • Diagnostic Error in Medicine (DEM) Conference: A presentation based on the AHRQ measurement issue

52. AHRQ Research Inspires Efforts at Banner Desert To Reduce Drug Errors in E.D. Patients | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/news/newsroom/case-studies/201509.html
    January 01, 2018 - The Institute of Medicine has identified medication errors as the most common type of error in health … The pharmacist is best trained to recognize this form of error," Dr. Hays noted.

53. Understanding SOPS® Surveys: A Primer for New Users - Gray (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/sops/events/webinar/sops-101-webcast-overview-surveys.pdf
    January 01, 2022 - Center 2015 14 Areas of Patient Safety Culture Assessed Across SOPS Surveys • Communication About Error … Openness • Organizational Learning—Continuous improvement • Overall Rating on Patient Safety • Response to Error

54. Improving Patient Safety Systems for Limited English Proficiency Patients
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
    January 01, 2011 - of bilingual hospital staff as ad hoc interpreters for LEP patients, despite greater likelihood of error … populations to better understand root causes and high-risk scenarios Develop strategies for improvement and error

55. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
    January 01, 2011 - of bilingual hospital staff as ad hoc interpreters for LEP patients, despite greater likelihood of error … to better understand root causes and high-risk scenarios  Develop strategies for improvement and error

56. Federal Interagency Workgroup on Improving Diagnostic Safety--March Meeting Summary (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/topics/DxSafety-March2019-MeetingNotes.pdf
    March 08, 2019 - www.cdc.gov/hai/prevent/cauti/index.html 3 AHRQ • In 2015, AHRQ issued two dedicated diagnostic error

57. Toolkit for Engaging Patients To Improve Diagnostic Safety  | Agency for Healthcare Research and Quality
    cahps.ahrq.gov/diagnostic-safety/tools/engaging-patients-improve.html
    July 01, 2022 - Diagnostic errors occur in all care settings and one in three patients will experience a diagnostic error

58. I-PASS: Integrating High Quality Handoffs into TeamSTEPPS and Hospital Care
    cahps.ahrq.gov/sites/default/files/wysiwyg/teamstepps/webinars/2015-materials/teamstepps-monthly-webinar-may2015.pptx
    January 01, 2015 - 2262-2270 TEAMSTEPPS 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› Results: Medical Error … handoff bundle implementation associated with: Primary outcome A significant reduction in overall error … Rates Standardized error surveillance methodology Study nurse reviews patient charts Medication orders … MAR, progress notes, nursing notes, and discharge summary Hospital incident reports Daily solicited error … 05.2 Mod 1 05.2 Page ‹#› TeamSTEPPS® I-PASS Slide ‹#› 71 Results - Primary Outcome: Medical Error

59. Development and Usability Testing of the Agency for Healthcare Research and Quality Common Formats to Capture Diagnostic Safety Events (pdf file)
    cahps.ahrq.gov/sites/default/files/wysiwyg/topics/development-and-usability-testing-common-formats.pdf
    January 01, 2022 - Errors Learning Network demonstrate the value of collecting and sharing deidentified diag- nostic error … Committee on Diagnostic Error in Health Care. Improving diagnosis in health care. … Advancing the research agenda for diagnostic error reduction. … Diagnostic error in internal medicine. Arch Intern Med. 2005;165:1493–1499. 4. … Diagnostic error in medicine: analysis of 583 physician-reported errors.

60. Preventing Medication Errors in Ambulatory Care: The Importance of Establishing Regimen Concordance (pdf file)
    cahps.ahrq.gov/downloads/pub/advances/vol1/Schillinger.pdf
    January 01, 2004 - Web Coated \050SWOP\051 v2) /sRGBProfile (sRGB IEC61966-2.1) /CannotEmbedFontPolicy /Error /CompatibilityLevel